Authorization for Medical, Dental, and Mental Health Care (Form P-2)

Placement and Transfer of Unaccompanied Children into ORR Care Provider Facilities

OMB: 0970-0554

IC ID: 242788

Information Collection (IC) Details

View Information Collection (IC)

Authorization for Medical, Dental, and Mental Health Care (Form P-2)
 
No Unchanged
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction P-2 Authorization for Medical, Dental, and Mental Health Care - UC Path Version Authorization for Medical, Dental, and Mental Health Care (Form P-2) - UC Path.pdf Yes Yes Fillable Fileable

Community and Social Services Social Services

09-80-0321 ORR Division of Children's Services Records  81 FR 46682

262 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 140,432 0 0 0 0 140,432
Annual IC Time Burden (Hours) 11,235 0 0 0 0 11,235
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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